Mercy Home Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MERCY HOME HEALTHCARE SERVICES LLC

Practice address

12800 Shaker Blvd
Ste 220D
Cleveland, OH 44120-2000

Phone

(614) 285-5771

Fax

(216) 751-1502

NPI assigned

May 31, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Morgan Abraham

Title

Administrator

Phone

(614) 285-5771

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912291626. Details of each certification follow.

• CCN 368478 Home health agency · Active · Details

Home health agency certification: CCN 368478

Legal name

MERCY HOME HEALTHCARE SERVICES, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 4, 2013

Last certification

Jan 10, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Mar 3, 2011 in OH

Enrollment address

12800 Shaker Blvd
Ste 220 D
Cleveland, OH 44120

Listed as

Mercy Home Healthcare Services LLCCCN 368478 · All quality measures

Ownership

Proprietary

Certified

Mar 4, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmed Abdi Jama, OWNER

  • Driver
  • Denver, CO
  • NPI 1609351485
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694908800000",
    "number": "1912291626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 SHAKER BLVD",
            "address_2": "STE 220D",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202000",
            "telephone_number": "614-285-5771",
            "fax_number": "216-751-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 SHAKER BLVD",
            "address_2": "STE 220D",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202000",
            "telephone_number": "614-285-5771",
            "fax_number": "216-751-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOME HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2023-09-17",
        "certification_date": "2023-09-17",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-285-5771"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porsche M Mercer, HEALTH COACH- NBHWC
• Rachelle Mercure, QMHS BA CMS BA
• Staci Mercuri
• Mercy Angels Home Care, LLC
• Mercy Angels Transportation LLC
• Mercy Medical Staffing, LLC
• Kathleen Merdes, MSPT
• Mary Alice Meredith, RN
• Shelby Meredith
• Tiquashia Dejuan Meredith

• Home Health Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.